# DR. MANDY LUMA ENSHIWAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003143231
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036.147464 | IL | Yes |
| 207R00000X | Internal Medicine Physician | 4301095446 | MI | — |

## Other

- **Enumeration date:** 11/09/2009
- **Last updated:** 12/20/2021